Cancellation form

 

Cancellation form

You can find an online version of the cancellation form at the following link.

Sample cancellation form.pdf

If you wish to cancel the contract, please fill out this form and return it.

To

NIVAROQ

STL Trade & Logistics GmbH
Steinbux 2
6840 Götzis, Austria
Email: office@nivaroq.com


I/We (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following service (*):



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Ordered on (*)/received on (*): .....................................................................................................



Consumer name(s): .....................................................................................................



Address of the consumer(s): .................................................................................................





Signature of consumer(s) (only for notifications on paper): ......................................................................................................





Date: ......................................................................................................
(*) Delete as appropriate.